HomeMy Public PortalAbout6306-6308 TEMPLE CITY BLVD_Electrical__ Rswsaa c¢ eaeF tR,n APPLICATION FOR ELECTRICAL PERMIT L]
COUNTY OF LOS ANGELES
i DEPARTMENT OF COUNTY ENGINEER }}ppgg
BUILDINGAND AFETYDIVI ION ADDRESS 0&-0 A"
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs &Pools EACH tJ0 FEE NEAREST I &2 Family Sg F S �O E 025 — $ ST
OR
Multi family Sq F WNER 02 — FIRMNAME
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Llght_Sw CITY Tel No
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Total No Additional 30 PERMIT NT
Fixed Appliances Not Over 1 HP ADDRESS,5%_Q
Range—Heater—D W _ CITYTel Nq3ss
Oven ,Dryer—W M_ LICENSE OR
Top —FAU —WH — REG NUMBER l Class J?9
Hood—Fan _Other_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE
Disp _ Room Air Coad 250 THAT THE ABOVE 15 CORRECT AND AGREE 10 COMAY WITH ALL COUNTY ORDIN
ANCF5 AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OIL LICENSED AS
REOL.)KD BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up tai Intl 250 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY p
Over 1 to 10 Incl 5 00
Over 10 to 501acl 1250 PERMITTEE 01o
Over 50 to 100 Inc 2500 1 1 SIGNATOR
Over 100 4000 DIST&d NO _ ESSED Y
z
Services ��1
0 200 Amp Under 600 V 1250 APPROVALS DATE ISI A OURS
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenorces 1000
1000 ROUGH CONDUIT
Sign with One Broach CircuitC2 00 WIRING
Add a lanai Sign Branch Circuits
Mix Conduits&Conductors 1000 FIXTURES
Other ISee Complete Fee Schedule] POWER AUTHORIZED
UTILITY CO NOTIFIED
]FINAL
PERMIT FEE Sub Totall NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700 7
TOTAL FEE 70 KFO
RAN CHECK VALIDATION CK M O CASH PEOW VALIDATION CK Mo CASH
1 3 iFJUN 22 2 D 7 Q.4 O acts
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE